PETITION UNDER SECTION _____ OF _____ ACT, _____ FOR GRANT OF SUCCESSION CERTIFICATE

To,
_____ son of _____ R/o _____

WHEREAS, you applied on _____ day of _____ for a Certificate under _____ of _____ Act, _____ in respect of _____ benefits of _____ resident of _____ who was employee of _____ having employee No. _____ from the office of _____, _____

This certificate is accordingly granted to you and empowers you to collect those debts.
Given under my hand the seal of this court on this ___________ day of _________.